Innovative Support Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INNOVATIVE SUPPORT SERVICES LLC

Practice address

8344 Woodbury Pike Unit 101
Roaring Spring, PA 16673-8107

Phone

(814) 934-4351

Fax

(814) 201-2035

NPI assigned

Jul 7, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jodi Beth Bishop

Title

Ceo

Phone

(814) 631-9477

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carolyn D Brumbaugh, RN, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Roaring Spring, PA
  • NPI 1477677367

  Psychiatric/Mental Health

  NPD
• Jodi Elizabeth Plowman, LCSW

  • Clinical Social Worker
  • Johnstown, PA
  • NPI 1104040526

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1639797657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PLEASANT VALLEY BLVD STE C",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166024871",
            "telephone_number": "814-631-9477",
            "fax_number": "814-201-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8344 WOODBURY PIKE UNIT 101",
            "city": "ROARING SPRING",
            "state": "PA",
            "postal_code": "166738107",
            "telephone_number": "814-934-4351",
            "fax_number": "814-201-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-631-9477",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred M Heaton, DO
• Julie B. Helsel, O.D.
• Philip A Herr, DPT
• Abbie Leigh Horton
• Allison Houk, MD
• Larry W Jones, MD
• Heather Rae Kindel, PHYSICAL THERAPIST
• Kopp Drug Roaring Spring, Inc.
• Lindsey Kring
• Larry Jones MD Inc

• All providers in Roaring Spring, PA
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.